PMID- 25476578
OWN - NLM
STAT- MEDLINE
DCOM- 20150929
LR  - 20220321
IS  - 1399-6576 (Electronic)
IS  - 0001-5172 (Print)
IS  - 0001-5172 (Linking)
VI  - 59
IP  - 2
DP  - 2015 Feb
TI  - The effects of surgical checklists on morbidity and mortality: a pre- and 
      post-intervention study.
PG  - 205-14
LID - 10.1111/aas.12443 [doi]
AB  - BACKGROUND: Surgical checklists (SCs) have been developed to enhance teamwork and 
      facilitate handovers, thereby improving the safety of surgical patients in health 
      care organisations. The aim of this study was to determine whether the 
      implementation of a 39-item SC reduced mortality and surgical adverse events 
      (AEs) in patients undergoing inpatient surgery. METHODS: A retrospective pre- and 
      post-intervention study of two cohorts of surgical patients was conducted 
      (n = 1602) in a tertiary teaching hospital. The patients' homogeneity was 
      confirmed by studying 40 comorbidities, 13 analytical determinations and 14 
      patient- and intervention-related variables. A 39-item SC adapted from one by the 
      World Health Organization was used. The primary endpoint was the occurrence of 
      any AE, including death, within 30 days of the operation. Twenty-three types of 
      AEs were analysed. RESULTS: Following implementation of the checklist, the rate 
      of AEs per 100 patients decreased from 31.5% to 26.5% (P = 0.39), the rate of 
      infectious AEs decreased from 13.9 to 9.6 (P = 0.037) and non-infectious AEs 
      decreased from 17.5 to 16.8 (P = 0.82). For non-elective patients, total AEs 
      decreased from 60.4 to 37.0 (P = 0.017). The proportion of patients with one or 
      more AE decreased from 18.1% to 16.2% (P = 0.35), and the death rate at 30 days 
      decreased from 1.5% to 0.9% (P = 0.35). CONCLUSION: The overall AE rate did not 
      decrease significantly between the two periods. However, the rate of infectious 
      AEs and overall AEs in patients with non-elective admissions had statistically 
      significant reductions. Further research is needed to determine how and in which 
      patients SC introduction can work successfully.
CI  - (c) 2014 The Authors. The Acta Anaesthesiologica Scandinavica Foundation. Published 
      by John Wiley & Sons Ltd.
FAU - Rodrigo-Rincon, I
AU  - Rodrigo-Rincon I
AD  - Preventive Medicine and Quality Control Department, Servicio Navarro de Salud, 
      Complejo Hospitalario de Navarra, Pamplona, Spain; Red de Investigacion en 
      Servicios de Salud en Enfermedades Cronicas (REDISSEC), Spain.
FAU - Martin-Vizcaino, M P
AU  - Martin-Vizcaino MP
FAU - Tirapu-Leon, B
AU  - Tirapu-Leon B
FAU - Zabalza-Lopez, P
AU  - Zabalza-Lopez P
FAU - Zaballos-Barcala, N
AU  - Zaballos-Barcala N
FAU - Villalgordo-Ortin, P
AU  - Villalgordo-Ortin P
FAU - Abad-Vicente, F J
AU  - Abad-Vicente FJ
FAU - Gost-Garde, J
AU  - Gost-Garde J
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20141205
PL  - England
TA  - Acta Anaesthesiol Scand
JT  - Acta anaesthesiologica Scandinavica
JID - 0370270
SB  - IM
MH  - Checklist/*methods
MH  - Female
MH  - *Hospital Mortality
MH  - Hospitals, Teaching
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/*mortality/*prevention & control
MH  - Retrospective Studies
PMC - PMC4312956
EDAT- 2014/12/06 06:00
MHDA- 2015/09/30 06:00
CRDT- 2014/12/06 06:00
PHST- 2014/10/13 00:00 [received]
PHST- 2014/10/13 00:00 [accepted]
PHST- 2014/12/06 06:00 [entrez]
PHST- 2014/12/06 06:00 [pubmed]
PHST- 2015/09/30 06:00 [medline]
AID - 10.1111/aas.12443 [doi]
PST - ppublish
SO  - Acta Anaesthesiol Scand. 2015 Feb;59(2):205-14. doi: 10.1111/aas.12443. Epub 2014 
      Dec 5.